LEAH MICHELLE NIEZWAAG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149016550

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

MICHELLE

Last Name

NIEZWAAG

Business Name

LEAH MICHELLE NIEZWAAG

Original Issue Date

03/18/2014

Effective Date

03/18/2014

Expiration Date

11/30/2015

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016